2008 WCRS
Youth Ragtime Piano Competition
APPLICATION FORM
Due October 1, 2008 PLEASE PRINT CLEARLY
Name ___________________________________________________
Age on 11/03/08 _______
Address
_______________________________________________________________________
City _________________________________________ State
_________ Zip Code _________
Phone ________________________ Email
_________________________________________
Division:
1 (8-10) ___ 2A-Junior
(11-14) ___ 2B-Classic (11-14)
___ 3 (15-18) ___
Teacher's Name
_________________________________________________________________
Teacher's Address
_______________________________________________________________
Composition & Composer
_________________________________________________________
For 1 & 2A-Junior divisions, arrangement by
___________________________________________
Parent, please give us your permission to photograph your child and use
his/her picture on our
Website by signing here: ______________________________________________
Thank you!
Applications
will be
processed
in the
order
that
they are
received.
Apply early.
Return form with registration fee of $15 check or money order to: West
Coast Ragtime Society, Youth Piano Competition, P.O. Box 13346,
Sacramento, CA 95813-3346. Confirmation, performance time,
directions to the site and other information will be sent to the
participant and his/her teacher mid October. Phone 1-800-760-9297.